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Contact Information

RANDALL L. RUDEEN MD PA
1603 12TH AVE RD
SUITE B
NAMPA, ID83686-7712
 Phone: 208-467-2400
 Fax: 208-467-6416
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for RANDALL L. RUDEEN MD PA

NPI Number 1336400043
LBN Legal business name RANDALL L. RUDEEN MD PA
Authorized official RANDALL RUDEEN - (DOCTOR/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/30/2012
Last updated 05/30/2012 - About 14 years ago
Identifiers
ID License # M5040
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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